Individual
APAMA K CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
900 N HERITAGE DR STE E, RIDGECREST, CA 93555-5537
(760) 446-8281
(760) 446-0970
Mailing address
900 N HERITAGE DR STE E, RIDGECREST, CA 93555-5537
(760) 446-4571
(760) 446-0970
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G570660
COMMERCIAL
—
05
—
00G570660
—
CA
01
—
010032908
RAILROAD MEDICARE
—
01
—
0616650001
DME
—
01
—
0PA106020
BLUE SHIELD
—
01
—
154460165
PALMETTO
—
01
—
688278
AHI HEALTHLINK
—
01
—
93555B033
WPS TRICARE
—
01
—
CA0103
JOHN DEERE
—
01
—
G57066
IMG
—
Enumeration date
06/13/2005
Last updated
09/02/2014
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